Inspection on 15/02/07 for Chichester Hall

This inspection was carried out on 15th February 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Chichester Hall 12/02/09

Similar services:

Sunny Bank (P.R.S.) Ltd

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Ashwood Court Unit 1

Langrigg House

Parkside

Extracts from inspection reports are licensed from CQC, this page was updated on 08/07/2008.

CARE HOMES FOR OLDER PEOPLE Chichester Hall Chichester Hall Dicktrod Lane Skinburness Silloth Cumbria CA5 4QP Lead Inspector Nancy Saich Unannounced Inspection 9:30 15 February 2007 th X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Chichester Hall DS0000068231.V316403.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Chichester Hall DS0000068231.V316403.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Chichester Hall Address Chichester Hall Dicktrod Lane Skinburness Silloth Cumbria CA5 4QP 016973 31479 Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Lakeland Care Services Ltd Mrs Jennifer Wilkinson Care Home 20 Category(ies) of Dementia (1), Dementia - over 65 years of age registration, with number (6), Mental disorder, excluding learning of places disability or dementia (1), Old age, not falling within any other category (20) Chichester Hall DS0000068231.V316403.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home is registered for a maximum of 20 service users to include:*Up to 20 service users in the category of OP (Old age not falling within any other category) *Up to 6 service users in the category of DE(E) (Dementia over the age of 65 years) *Uo to 1 service user in the category of DE (Dementia under the age of 65 years) *Up to 1 named service user in the category of MD (Mental disorder excluding learning disability or dementia under the age of 65 years of age) may be accommodated within the overall number of registered places. Date of last inspection Brief Description of the Service: Chichester Hall is situated in Skinburness. It is approximately three miles from Silloth. The home is set in its own extensive grounds, is near to the foreshore and benefits from uninterrupted views over the Solway. The home is an older property that has been adapted to cater for up to twenty older people. The accommodation is on two floors with access by a passenger lift. The home has a large lounge and separate dining room. All of the residents have single rooms with ensuite toilet and wash handbasin. The house has been a residential home for older people for many years but has recently been bought by Lakeland Care Services. The home continues to be managed by Mrs Jennifer Wilkinson who has managed the home for a number of years. The weekly charge ranges from £317 to £450 per week. Further details can be accessed from the manager of the home. Chichester Hall DS0000068231.V316403.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the first key inspection of the home since it was purchased by Lakeland Care Services ltd. The lead inspector, Nancy Saich sent out questionnaires to people who live in the home, their families and other people who visit the home. These surveys were mainly positive. There were one or two minor issues brought to her attention that she looked at during the inspection. The inspector asked the manager to send her some information about the home and she sent a lot of information that arrived before the visit. The inspector visited the home; spoke to the residents –both individually and in groups – and to the owner, the manager and the staff. She spent time walking around the building and just observing how life was in the home. She also read documents and files that backed up what she saw and what was said to her. What the service does well: The manager and the staff team are good at making sure they go out to visit any new resident and get to know their needs. This makes sure they can meet a new persons need and that they will fit into the existing group of residents. The inspector saw the staff team helping a new person to settle in a sensitive and supportive way. The home is very good at writing up plans that help residents to tell staff what they want and need in terms of care and services. The inspector read all of these and found these ‘care plans’ to be detailed and up to date. Residents felt that they had good access to health care and the notes showed that health professionals were called out appropriately. The inspector saw evidence to show that staff did a lot of preventative work to keep residents well. The medicines kept on behalf of residents were checked and were in order. One health care professional said: • “People seem happy here. The staff are competent and are very caring…”. Another said: • “Patients appear content, happy and well looked after.” The inspector watched the staff and residents together. She judged that the staff treated the residents in a kind and respectful way. The staff were careful Chichester Hall DS0000068231.V316403.R01.S.doc Version 5.2 Page 6 to make sure that all the residents were treated with dignity. Residents, relatives and other visitors were happy with the staff team. These are some of the things that were said to the inspector or written in the surveys: • • • • • • “I am very happy living here and my needs are completely met.” “I find all the people in this home very helpful…”. “The staff are VERY understanding and know if I require ‘a bit of support’ –they do it in a friendly way and DON’T act as bosses.” “They are understanding in all ways and do take care of people in a friendly and understanding way.” “I am well looked after, the management and staff are excellent”. “I am happy here –didn’t want to leave my home – but this is the next best thing.” The residents were happy with the way the days were arranged. Some people like to stay in their rooms all the time but others enjoy socialising at mealtimes. Some people prefer to be in company all the time and they enjoy sitting in the lounge. Residents said they had parties and entertainments and that the staff tried to do activities with them whenever they could. Local churches visit and give communion. The staff are trying to vary the activities on offer and they have a plan for the next few months that residents helped to draw up. Residents all said they really liked the food in the home: • • • “All meals are well cooked and served properly. I appreciate the meals”. “I enjoy my meals and will always try something different when its offered” “I get plenty to eat, choices are good and I can ask for something different if I want”. Residents said they could complain if they had to. Several people said they had never had any complaints. Some people said that things were never allowed to get out of hand and become complaints: • “We are open with each other here and I don’t hold back if something doesn’t suit. But really I have no complaints.” Staff knew how to deal with complaints and copies of the procedure were on show around the home. Residents were also asked about their understanding of abuse. They were well aware of what was abusive and what their rights were. They said that nothing untoward happened in the home and were confident that the staff team knew exactly how to manage any difficulty. The inspector spoke to the staff and they did know how to manage this and were confident that they can protect their residents. This home is clean and comfortable for residents. They were happy with the environment and the inspector thought that things were in good order. The inspector saw four weeks worth of roster and spoke to residents and staff. Chichester Hall DS0000068231.V316403.R01.S.doc Version 5.2 Page 7 She judged from this that the home has suitable staffing levels to give the residents good levels of care. The inspector was impressed with the levels of skills and knowledge that the manager and staff had. Nearly three quarters of the team have qualifications in care and they were all very proud of their achievements. It was interesting to note that the cook also had care qualifications as this home sees good nutrition as part of good care. The manager is very interested in training and has a good training programme in place. Sometimes this involves someone from outside giving training, sometimes it is doing distance learning courses or going to college. The inspector like the fact that the manager also trained and developed her own staff so that anything they learnt could be put into practice. Currently all staff were going over all the basics of care again just to make sure that everyone follows good practice. The team is very stable and well established and only one new person had been taken on in the past year. The inspector looked at her file and saw that the manager had checked her identity and her references and made sure that she had no criminal record and hadn’t been dismissed from any other care job. In fact all the staff files showed that this is always done. The manager of this home is experienced and well trained. She is respected and trusted by the residents and staff. She has some very good systems in place in the home that make sure that all the care and services meet the needs of the residents and also stay within the law. She has developed a good system that helps to make sure that the whole team are aware of the need to deliver a quality service. Health and safety matters were being dealt with properly and were part of the checks on quality. The inspector looked at a range of documents about things like fire and food safety, maintenance and repair. All the things she saw were in order. What has improved since the last inspection? The manager has improved some of the ways she makes sure people get good care. There is a new plan in place that helps staff to give people the best nutrition and the inspector judged that small changes to things like risk assessment and care planning helped to give an event better understanding of people’s needs. Residents said they were very happy with the new arrangements to go out for local trips in the company’s minibus twice a month. They also said that it was much easier to go out to shop or to the hairdresser now that the home has a car available for staff to take residents out. Chichester Hall DS0000068231.V316403.R01.S.doc Version 5.2 Page 8 The new owner has replaced some carpets, decorated some bedrooms and bought new bedroom furniture. Improvements had been made to the kitchen. Some landscaping work had been done to the garden and improvements made to DickTrod lane as the access is not as good as it might be. He has plans to refurbish the home and provide new furniture and fittings and decorate all around the building. He agreed to send the inspector copies of any future plans for the home. The inspector judged that his forward planning was very good and looks forward to hearing about the changes. What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Chichester Hall DS0000068231.V316403.R01.S.doc Version 5.2 Page 9 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Chichester Hall DS0000068231.V316403.R01.S.doc Version 5.2 Page 10 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 3 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. This home is good at making sure they only take new residents that they know they can care for and who will fit into the home. EVIDENCE: The inspector spoke to the most recently admitted residents, observed how staff helped a new person to settle in and read notes and files about new admissions. She discovered that every new resident was visited before they came to the home. The manager or one of her senior staff go out to get to know new people and to understand their needs. Once they know they can give the right levels of care the new person is invited to visit and share a meal with other Chichester Hall DS0000068231.V316403.R01.S.doc Version 5.2 Page 11 residents. Some people come for a short break before they decide to come in permanently. The inspector saw the notes that staff make of these assessments and these were of a good standard. She looked at the notes for a new person to be admitted on the day. This new resident had social work notes and the manager had started to put together a written plan of care. All the staff on duty were aware of this person’s needs and they were helping her to settle into the home. She was being treated very gently and asked her preferences and one member of staff reassured her that the team would do their best to get everything just the way she wanted. Staff actually started to meet her needs very quickly after admission. The inspector thought this was being done very well and she could see that the staff knew how vulnerable this new person felt and were doing their best to be supportive. Chichester Hall DS0000068231.V316403.R01.S.doc Version 5.2 Page 12 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The staff team deliver excellent standards of care that allow people to be as happy and content as is possible. EVIDENCE: Every person in the home has a written plan that shows staff what they want and need. These written ‘care plans’ were up to date and very detailed. The inspector read all of them and found that they reflected what residents said and what the inspector observed. Residents said that ‘Jennifer’ – the managerwent over their plan with them on a regular basis and that they could change any part of it that wasn’t working. They said that staff followed these plans. The inspector watched how staff worked with one particular person and they were following the written plan but also asked the person what they wanted and then told them how they were going to help and support them. Chichester Hall DS0000068231.V316403.R01.S.doc Version 5.2 Page 13 These written plans also showed when people needed help with health matters. The daily notes showed that if someone was unwell a doctor was brought in as soon as possible and that the staff team followed their instructions. The residents said they saw the nurse and other health professionals if they needed to. Surveys from the local health professionals were very positive about the home. The inspector checked on the medicines kept on behalf of residents. These were kept locked away and only trained staff deal with the drugs that residents need. The inspector saw from the way things were ordered, stored, given out and recorded that the staff team knew how to look after residents medicines. The deputy manager deals with these and she was well aware of her responsibilities and there was evidence to show that she is thorough and capable. A few residents manage their own medicines and one person told the inspector that they knew they were ‘checked on’ but that the staff did it in a nice way. One person had been finding this difficult and the staff had stepped in to help in a positive way. The inspector noted that the doctor had checked medicines on a regular basis and that the staff team makes sure that they keep sedatives and other strong drugs to a minimum. There were good instructions for ‘as required’ medicines. The staff in this home create a warm and friendly atmosphere. The inspector thought that residents and staff were very relaxed together and there was a lot of humour and friendship between them. She also judged that despite this easy interaction staff still treated residents in a respectful way that recognised residents’ personal dignity and rights. Residents said that the staff were very nice to them and were very caring and considerate. The inspector saw this when she sat in the lounge with residents and during lunchtime. It was all very natural and was obviously the way the staff always treated residents. Chichester Hall DS0000068231.V316403.R01.S.doc Version 5.2 Page 14 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents have a good range of choices and options that give them a satisfying life. EVIDENCE: The residents said they were happy with the way things were arranged in the home. They said that they could spend time in their own rooms and get up or go to bed when they chose. They felt there were no rigid rules in the home but that they did have to live with each other so they were all helped by the manager and staff to get on together. Residents said that they now got out of the home more often. The new owner was taking people out for short trips twice a month in the minibus from his other home. The home also has a car that staff use to take people to appointments or down to Silloth to shop or go to the hairdresser. Residents said that they had parties and entertainments in the home and these were often celebrations of events that we all enjoy. The residents said they had haggis on Burns’ night and the cook was going to make a Chinese meal for Chichester Hall DS0000068231.V316403.R01.S.doc Version 5.2 Page 15 them to celebrate Chinese New Year. The residents said that this kept them ‘up to date’ with what was happening in the world. They said that they had visits from local churches and some people went out to church. The home had an activities programme that included craft, reminiscence, quizzes, local history talks, reading, chair aerobics, orientation activities, reminiscence, family nights, church groups and communion. A number of residents’ files showed that the staff were working on personal histories when people wanted to think about their lives. The inspector thought that his was the start of really good work that would help residents feel much more valued and would help staff to understand them as real people. The change of ownership of the home had gone quite smoothly but there had been one issue that the residents had felt a little uncomfortable with. However the residents committee had met and the new owner had taken their views on board and the matter had been settled amicably. The residents felt that they did have power in the home and could influence change. They were looking forward to being involved in all the planned changes that the new owner wanted to bring about. Residents said they could have visitors whenever they wanted. The visitors’ book showed a good level of friends and family coming to the home. Relatives’ questionnaires showed that they felt welcome in the home. The residents were very complimentary about the food in the home. They said that they had well cooked and good quality food provided and could have what they wanted. They said there was plenty of choice and that the cook knew what they liked. The inspector had been sent four weeks menu and she judged that there were good choices and that the meals were balanced and nutritious. Each resident had food preference and nutritional plan in their care plans. These were simple but very effective, showing preferences and dislikes and helped staff to understand how to give people proper nutrition in an easy and natural way. Everyone in the home looked as well as possible and the residents thought this was due to having good food. The inspector checked the kitchen and found that there was plenty of fresh fruit and vegetables and a wide range of foods available. Residents said they had home baking every day and plenty of homemade soups. These things help people with small appetites to take in a little more nutrition. Chichester Hall DS0000068231.V316403.R01.S.doc Version 5.2 Page 16 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The residents in this home know they are listened to and that the management and staff are able to protect them from harm. EVIDENCE: The home had not received any formal complaints and the inspector had only had one very minor ‘niggle’ on the relatives’ surveys. Residents said they ‘complained as they went along’. The inspector thought they were a very assertive group who made their wishes known on a day-to-day basis. They said that if there was anything major they would go to the manager or to the new owner who they thought would listen to them. Staff were aware of how to help people complain and copies of the complaints procedure were seen around the home. Residents said that there was nothing abusive happening in the house. They trusted the manager to be aware of everything that happened in the home and knew she would deal with anything like this very quickly. Residents said that they would contact the inspector or Social Services but didn’t think they would ever have to. They said that the staff were always kind to the most vulnerable people in the home. The staff were aware of what was abusive and knew how to handle any situation of this kind. It was obvious that they had been trained by the manager to understand what the procedures were and that they had thought about what they would do if things were going badly wrong. They said that as Chichester Hall DS0000068231.V316403.R01.S.doc Version 5.2 Page 17 a team they would bring these things to light as they all felt that ‘their’ residents had to be protected and supported. Chichester Hall DS0000068231.V316403.R01.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents live in a comfortable home where they feel safe and relaxed. EVIDENCE: The inspector walked around the home and checked on the shared areas and on private bedrooms. She found the home to be clean and tidy and residents had comfortable and clean rooms. The new owner talked at length to the inspector about his plans for improving the environment. He has already started to buy new furniture and to put down new carpets. The home is already quite well furnished but he has plans to make the environment even more comfortable. He also plans to restore some of the period features of the house. He has completed some work on the grounds and has plans to improve the access to the home. Chichester Hall DS0000068231.V316403.R01.S.doc Version 5.2 Page 19 The residents said that the home was quite comfortable and everyone was happy enough with their bedrooms. They were, however looking forward to having new furniture and to having their rooms redecorated. The laundry and the general cleaning were being done properly. The inspector checked on these domestic routines and was happy with the way things were being done. More importantly the residents were happy with the cleanliness of the home and how their clothes and bed linens were washed and ironed. Chichester Hall DS0000068231.V316403.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29,30 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. This home has a well-trained and highly motivated team who deliver care to residents in a sensitive and caring manner. EVIDENCE: The manager sent the inspector four weeks worth of rosters and she judged that there were enough staff on duty to give good care to residents. Residents said that they felt that there was enough staff around to care for them. They were very realistic and knew that the staff couldn’t give them one-to-one attention all the time but they said that the staff did very well. The staff said that they did work hard but that they were well organised and worked as a team so they managed all the work and could give residents plenty of time and attention. This team has worked together for a long time and they know each other very well. The team has people of all ages and they bring different skills and life experience to the home. They said that the manager (who lives in the home) would help and support them if they needed extra help. The team are well motivated and enjoy training and gaining qualifications. The manager has a special interest in staff training and development and this Chichester Hall DS0000068231.V316403.R01.S.doc Version 5.2 Page 21 shows in the numbers of staff (72 ) who have gained NVQ at levels 2, 3 and 4. The staff have received training from outside trainers in things like dealing with medication and with moving and handling. The manager also does in-house training and the inspector saw the content of her training. These training sessions were judged to be of a good standard and staff thought that these were helped them to do their job in the home as the training was ‘geared up’ for the care of their residents in the home. There had only been one new person taken on in the last year and the inspector checked this person’s file and she found that the recruitment had been done correctly. The manager is careful to check the background of any new person so that residents stay safe and have the right kind of carers to do the intimate and confidential care they need. Chichester Hall DS0000068231.V316403.R01.S.doc Version 5.2 Page 22 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35,36,38 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Residents live free from worry as they know the excellent management systems keep them safe and free from harm. EVIDENCE: The manager of the home has been in post for a number of years. She has the Registered Managers’ qualification at level 4 NVQ and is qualified to train and mentor other people. She has a number of years experience in caring for older people and a good understanding of older people who have dementia. Residents and staff alike said they trusted and respected her and could turn to her for advice, help and support. It was obvious that she knew all the residents Chichester Hall DS0000068231.V316403.R01.S.doc Version 5.2 Page 23 very well and spent time with each of them to make sure that they were happy in the home. She has developed very good systems in the home that make sure everything in the home runs smoothly and that the home operates to the best possible standards and stays well within the laws that apply to residential homes and work places. The manager had completed a quality assurance audit of the home for the year and was planning to do the next. She has excellent systems that she uses every day that make sure that the routines in the home are followed to the standards she has set out for the home. Individual members of the staff team are involved in these checks. The inspector saw lots of records that show that checking on quality has become part of the daily work of the home. Residents are encouraged to manage their own finances and the manager said she was not looking after any cash for residents. The manager makes sure that she knows how each member of staff is carrying out their duties. She observes them as they work with residents and also sits down with them to talk about their work and their training and development needs. Staff confirmed that they were seen on a regular basis and had the chance to talk over their worries or concerns or just simply to confirm that they were doing their job properly. The inspector read the very good notes from these one to one ‘supervision’ meetings. The inspector checked on the records and procedures in the home that help to safeguard both residents and staff. These were up to date and staff had received training on things like food hygiene, fire safety and manual handling. There was one minor problem with the information about cleaning materials but this was dealt with when the inspector was there and records were being updated. Generally the maintenance and health and safety matters in the home were being dealt with appropriately. Chichester Hall DS0000068231.V316403.R01.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 4 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 4 8 3 9 3 10 4 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 4 29 3 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 4 X 3 4 X 3 Chichester Hall DS0000068231.V316403.R01.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? N/A STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Chichester Hall DS0000068231.V316403.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Eamont House Penrith 40 Business Park Gillan Way Penrith Cumbria CA11 9BP National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. 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